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1.
PLoS One ; 17(3): e0265257, 2022.
Article in English | MEDLINE | ID: covidwho-1745311

ABSTRACT

This research aims to find out the phenomenon of webinar competition from the viewpoint of the audience. Covid-19 pandemic makes webinars a means for knowledge dissemination. Many events offered turned out to be a tight competition among organizers and caused a different response for the audience. Academics participants' responses had never been known in depth so that they could be the basis for determining the strategy for the organizers. Using quantitative data through online surveys to further interpreted with the help of previous literature. The independent variables gender, age, frequency, cost, and place are used to determine their effect on loyalty, which is represented by the length of duration in participating in each webinar. The effectiveness of webinars as a means of disseminating ideas in the pandemic era still faces various challenges. Among academics, the loyalty at the webinar event is influenced by gender and age. It is important for organizers to effectively communicate to webinar participants so that they get the message they want to convey.


Subject(s)
COVID-19/epidemiology , Education, Distance/methods , Evaluation Studies as Topic , Humans , Indonesia/epidemiology , Male , Surveys and Questionnaires
3.
Acta Paul. Enferm. (Online) ; 34: eAPE001915, 2021. tab
Article in Portuguese | WHO COVID, LILACS (Americas) | ID: covidwho-1687916

ABSTRACT

Resumo Objetivo Identificar a prevalência do estresse ocupacional dos profissionais de enfermagem que atuam em cuidados paliativos, durante a pandemia pelo SARS-CoV-2 e fatores sociodemográficos e ocupacionais associados. Métodos Trata-se de um estudo transversal, de abordagem quantitativa, realizado em uma unidade de atendimento a pacientes em cuidados paliativos oncológicos exclusivos, de um hospital oncológico público de referência nacional. A coleta de dados foi realizada entre os meses de abril e maio de 2020, utilizando dois instrumentos. Na análise dos dados foi utilizado o modelo de regressão de Poisson, com variância robusta. Resultados A amostra foi composta por 71 profissionais, que atuaram no atendimento à pacientes suspeitos ou com diagnóstico confirmado de COVID-19. O desfecho médio/alto nível de estresse foi prevalente em 42,2% dos profissionais, com maior predominância entre enfermeiros (65,0%), que exercem suas atividades no período diarista/diurno (55,2%) e que atuam há mais de oito anos em cuidados paliativos (45,1%). Apenas as variáveis "cargo" e "morar sozinho" apresentaram associação significativa ao estresse médio/alto. Conclusão Diante dos resultados é importante que as instituições busquem medidas por meio de intervenções psicológicas e ocupacionais que possam reduzir os impactos mentais gerados pela atuação durante a COVID-19. Sugere-se maior estresse entre os enfermeiros, pois se envolvem em questões assistenciais e burocráticas, o que aumenta sua responsabilidade perante a equipe, e aos profissionais que residem sozinhos devido aos impactos gerados pelo isolamento e falta de apoio familiar próximo.


Resumen Objetivo Identificar la prevalencia del estrés laboral de los profesionales de enfermería que actúan en cuidados paliativos, durante la pandemia del SARS-CoV-2 y factores sociodemográficos y laborales asociados. Métodos Se trata de un estudio transversal, de enfoque cuantitativo, realizado en una unidad de atención a pacientes en cuidados paliativos oncológicos exclusivos, de un hospital oncológico público de referencia nacional. La recopilación de datos fue realizada entre los meses de abril y mayo de 2020, mediante la utilización de dos instrumentos. En el análisis de los datos se utilizó el modelo de regresión de Poisson, con varianza robusta. Resultados La muestra estuvo compuesta por 71 profesionales que actuaban en la atención a pacientes con sospecha o diagnóstico confirmado de COVID-19. El resultado de nivel de estrés medio/alto fue prevalente en el 42,2 % de los profesionales, con una mayor predominancia entre enfermeros (65,0 %), que ejercen sus actividades en el período diurno (55,2 %) y que actúan hace más de ocho años en cuidados paliativos (45,1 %). Solamente las variables "cargo" y "vivir solo" presentaron una asociación significativa con el estrés medio/alto. Conclusión Ante los resultados obtenidos, es importante que las instituciones busquen medidas a través de intervenciones psicológicas y laborales para reducir los impactos mentales generados por el trabajo durante la COVID-19. Se sugiere que existe mayor estrés entre los enfermeros, ya que están involucrados en cuestiones asistenciales y burocráticas, lo que aumenta su responsabilidad ante el equipo, y los profesionales que viven solos debido a los impactos generados por el aislamiento y la falta de apoyo familiar cercano.


Abstract Objective To identify the prevalence of occupational stress among nursing professionals working in palliative care during the SARS-CoV-2 pandemic, and associated sociodemographic and occupational factors. Methods This was a cross-sectional study with a quantitative approach, conducted in an exclusive oncologic palliative care unit of a public oncology hospital of national reference. Data collection was performed between April and May of 2020, using two instruments. The Poisson regression model with robust variance was used for data analysis. Results The sample was composed of 71 professionals, working with patients suspected of or with a confirmed diagnosis of COVID-19. The medium/high level of stress outcome was prevalent in 42.2% of professionals, with higher prevalence among nurses (65.0%), who worked during the day shift (55.2%) and who had worked for more than eight years in palliative care (45.1%). Only the variables "position" and "living alone" showed a significant association with medium/high stress. Conclusion According the results, institutions must develop psychological and occupational interventions that can reduce the mental impact generated by nursing work during COVID-19. Increased stress was found among nurses, as they are involved in care and bureaucratic issues, which adds to their responsibility to the team, and among professionals who lived alone, due to impact generated by isolation and lack of close family support.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Palliative Care , COVID-19 , Nursing, Team , Cross-Sectional Studies , Surveys and Questionnaires , Evaluation Studies as Topic , Occupational Stress/epidemiology
4.
Acta Paul. Enferm. (Online) ; 34: eAPE001725, 2021. tab, graf
Article in Portuguese | WHO COVID, LILACS (Americas) | ID: covidwho-1687915

ABSTRACT

Resumo Objetivo Adaptar culturalmente para o português do Brasil a Face Mask Use Scale e avaliar suas propriedades psicométricas. Métodos Estudo metodológico, transversal, com abordagem quantitativa, que compreendeu as etapas de: tradução; consenso da versão em português; avaliação por comitê de especialistas; retrotradução e comparação com a versão original; teste piloto e avaliação psicométrica da Face Mask Use Scale (FMUS). Resultados A versão original da FMUS foi traduzida para o português do Brasil. A validade de conteúdo foi realizada por um painel de cinco especialistas. O índice de validade de conteúdo para a escala (IVC-S/Ave) foi 0,87 e para os itens (IVC-I) variou de 0,6 a 1,0. A versão para o português do Brasil da FMUS (FMUS-PB) foi aplicada em 4822 adultos com idade média de 30 anos (DP = 11,7). Na consistência interna, o Alfa de Cronbach foi de 0,86. O modelo original de dois fatores da FMUS não se mostrou adequado para a população brasileira pelo uso da análise fatorial confirmatória e exploratória. Assim, realizou-se uma análise fatorial exploratória para investigar a estrutura fatorial da FMUS-PB novamente e um novo modelo potencial da FMUS-PB para melhor explicação. A FMUS-PB apresentou estrutura fatorial diferente do modelo original. Os itens foram alinhados em um único fator, criando um instrumento unidimensional que explicou 59,7% da variância total. A validade de construto por grupos conhecidos foi satisfatória (p <0,001). Conclusão A FMUS-PB é confiável e válida para medir a prática do uso de máscaras entre a população brasileira, sobretudo na pandemia da COVID-19.


Resumen Objetivo Adaptar culturalmente la Face Mask Use Scale al portugués de Brasil y evaluar sus propiedades psicométricas. Métodos Estudio metodológico, transversal, con enfoque cualitativo, que comprendió las siguientes etapas: traducción, consenso de la versión en portugués, evaluación de comité de especialistas, retrotraducción y comparación con la versión original, prueba piloto y evaluación psicométrica de la Face Mask Use Scale (FMUS). Resultados La versión original de la FMUS fue traducida al portugués de Brasil. La validez de contenido fue realizada por un panel de cinco especialistas. El índice de validez de contenido de la escala (IVC-S/Ave) fue 0,87 y el de los ítems (IVC-I) varió de 0,6 a 1,0. La versión en portugués de Brasil de la FMUS (FMUS-PB) fue aplicada a 4.822 adultos de edad promedio de 30 años (DP = 11,7). En la consistencia interna, el Alfa de Cronbach fue de 0,86. El modelo original de dos factores de la FMUS demostró no ser adecuado para la población brasileña mediante el uso del análisis factorial confirmatorio y exploratorio. De esta forma, se realizó un análisis factorial exploratorio para investigar la estructura factorial de la FMUS-PB nuevamente y un nuevo modelo posible de la FMUS-PB para una mejor explicación. La FMUS-PB presentó una estructura factorial diferente al modelo original. Los ítems fueron alineados en un único factor y se creó un instrumento unidimensional que explicó el 59,7 % de la varianza total. La validez del constructo por grupos conocidos fue satisfactoria (p < 0,001). Conclusión La FMUS-PB es confiable y válida para medir la práctica del uso de mascarillas en la población brasileña, sobre todo durante la pandemia de COVID-19.


Abstract Objective To culturally adapt the Face Mask Use Scale to Brazilian Portuguese and assess its psychometric properties. Methods This is a methodological, cross-sectional, quantitative study, which comprised the following steps: translation; Portuguese version consensus; assessment by an expert committee; back-translation and comparison with the original version; pilot test; and psychometric assessment of the Face Mask Use Scale (FMUS). Results The original version of FMUS was translated into Brazilian Portuguese. Content validity was performed by a panel of five experts.The Content Validity Index for the scale (CVI-S/Ave) was 0.87 and for the items (CVI-I) it ranged from 0.6 to 1.0. The FMUS - Brazilian Portuguese version (FMUS-BP) was applied to 4822 adults with a mean age of 30 years (SD = 11.7).For internal consistency, Cronbach's alpha was 0.86. The original two-factor model of the FMUS was not suitable for the Brazilian population due to the use of Exploratory Factor Analysis and Confirmatory Factor Analysis. Thus, an Exploratory Factor Analysis was carried out to investigate the factor structure of the FMUS-BP again and a new potential model of the FMUS-BP for better explanation.The FMUS-BP presented a factor structure different from the original model. Items were aligned on a single factor, creating a one-dimensional instrument that explained 59.7% of the total variance. Construct validity by known-groups was satisfactory (p <0.001). Conclusion The FMUS-BP is reliable and valid to measure the practice of using masks among the Brazilian population, especially in the COVID-19 pandemic.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Aged, 80 and over , COVID-19 , Masks/statistics & numerical data , Cross-Sectional Studies , Factor Analysis, Statistical , Validation Study , Evaluation Studies as Topic
5.
BMC Med Imaging ; 22(1): 21, 2022 02 06.
Article in English | MEDLINE | ID: covidwho-1666633

ABSTRACT

OBJECTIVE: The purpose of this study was to compare imaging features between COVID-19 and mycoplasma pneumonia (MP). MATERIALS AND METHODS: The data of patients with mild COVID-19 and MP who underwent chest computed tomography (CT) examination from February 1, 2020 to April 17, 2020 were retrospectively analyzed. The Pneumonia-CT-LKM-PP model based on a deep learning algorithm was used to automatically quantify the number, volume, and involved lobes of pulmonary lesions, and longitudinal changes in quantitative parameters were assessed in three CT follow-ups. RESULTS: A total of 10 patients with mild COVID-19 and 13 patients with MP were included in this study. There was no difference in lymphocyte counts at baseline between the two groups (1.43 ± 0.45 vs. 1.44 ± 0.50, p = 0.279). C-reactive protein levels were significantly higher in MP group than in COVID-19 group (p < 0.05). The number, volume, and involved lobes of pulmonary lesions reached a peak in 7-14 days in the COVID-19 group, but there was no peak or declining trend over time in the MP group (p < 0.05). CONCLUSION: Based on the longitudinal changes of quantitative CT, pulmonary lesions peaked at 7-14 days in patients with COVID-19, and this may be useful to distinguish COVID-19 from MP and evaluate curative effects and prognosis.


Subject(s)
COVID-19/diagnostic imaging , Pneumonia, Mycoplasma/diagnostic imaging , Tomography, X-Ray Computed , Adult , Evaluation Studies as Topic , Female , Humans , Longitudinal Studies , Male , Middle Aged , Retrospective Studies
6.
PLoS One ; 16(11): e0259995, 2021.
Article in English | MEDLINE | ID: covidwho-1533419

ABSTRACT

INTRODUCTION: Digital technology has the potential to improve health outcomes and health system performance in fragmented and under-funded mental health systems. Despite this potential, the integration of digital technology tools into mental health systems has been relatively poor. This is a protocol for a synthesis of qualitative evidence that will aim to determine the barriers and facilitators to integrating digital technologies in mental health systems and classify them in contextual domains at individual, organisational and system levels. METHODS AND ANALYSIS: The methodological framework for systematic review of qualitative evidence described in Lockwood et al. will be applied to this review. A draft search strategy was developed in collaboration with an experienced senior health research librarian. A systematic search of Medline, Embase, Scopus, PsycInfo, Web of Science and Google Scholar, as well as hand searching of reference lists and reviews will identify relevant studies for inclusion. Study selection will be carried out independently by two authors, with discrepancies resolved by consensus. The quality of selected studies will be assessed using JBI Critical Appraisal Checklist for Qualitative Research. Data will be charted using JBI QUARI Data Extraction Tool for Qualitative Research. Findings will be defined and classified both deductively in a priori conceptual framework and inductively by a thematic analysis. Results will be reported based on the Enhancing transparency in reporting the synthesis of qualitative research. The level of confidence of the findings will be assessed using GRADE-CERQual. ETHICS AND DISSEMINATION: This study does not require ethics approval. The systematic review will inform policy and practices around improving the integration of digital technologies into mental health care systems.


Subject(s)
Health Services Accessibility/trends , Mental Health Services/trends , Systematic Reviews as Topic/methods , Checklist , Consensus , Digital Technology/trends , Evaluation Studies as Topic , Government Programs , Health Services Accessibility/statistics & numerical data , Humans , Medical Assistance , Mental Health/trends , Policy , Qualitative Research
7.
Rev. Ciênc. Méd. Biol. (Impr.) ; 19(4): 553-559, dez 30, 2020. tab, fig, ilus
Article in Portuguese | WHO COVID, LILACS (Americas) | ID: covidwho-1502771

ABSTRACT

Introdução: os desafios decorrentes da propagação da Covid-19 têm promovido uma aceleração do uso das ferramentas tecnológicas. A conectividade digital se estabelece ainda mais nos hábitos diários, especialmente no trabalho em saúde. Objetivo: Descrever as fragilidades e potencialidades do trabalho fonoaudiológico em ambiente virtual, em tempos de pandemia da Covid-19. Metodologia: estudo transversal, de abordagem quali-quantitativa. Participaram desta pesquisa 32 fonoaudiólogos inscritos no Conselho Regional de Fonoaudiologia 4ª Região, com atuação no Estado da Bahia. Utilizou-se um questionário online no Google Forms como instrumento de coleta de dados. Os resultados foram tabulados em planilha eletrônica Excel. Os dados categóricos foram resumidos por meio de frequência absoluta (n) e relativa (%). Resultados: acerca das fragilidades, 65,6% referiram-nas como referentes ao manuseio de ferramentas tecnológicas e plataformas digitais; 87,5% referiram resistência do paciente em aderir ao tratamento fonoaudiológico diante da mudança do modo presencial para o teleatendimento, ocorrendo o abandono da assistência fonoaudiológica. Quanto às potencialidades, têm-se a manutenção da assistência fonoaudiológica mesmo durante o isolamento social, comodidade do profissional devido a não locomoção e principalmente dos pacientes, cuja moradia é distante dos serviços de saúde; maior flexibilidade nos horários de reuniões virtuais, aumento da frequência de contato com o usuário e maior participação da família no atendimento fonoaudiológico. Conclusão: apesar das fragilidades observadas, as potencialidades encontradas no trabalho virtual permitiram a manutenção da assistência fonoaudiológica a pacientes, mesmo em tempos de pandemia. Portanto, a tecnologia mostra-se como uma forte aliada no atendimento à saúde.


Introduction: the challenges arising from the spread of Covid-19 accelerated the use of technological tools. Digital connectivity is has established itself even more in our daily habits, especially in health care work. Objective: to describe the weaknesses and potentialities of phonoaudiological work in a virtual environment in times of Covid-19 pandemic (SARS-CoV-2). Methodology: transversal study, of qualitative-quantitative approach. 32 speech therapist registered in the Regional Council of Speech Therapy (4th Region) in the State of Bahia participated in this research. An online questionnaire on Google Forms was used as a data collection tool. The results were tabulated in Excel. Categorical data were summarized using absolute (n) and relative (%) frequency. Results: about the weaknesses, 65.6% reported difficulties in dealing with technological tools and digital platforms; 87.5% reported patient resistance regarding doing speech therapy, due to the change from face-to-face to online interaction and abandonment of speech therapy. As for potentialities, speech therapist assistance has been continued, even during social isolation, convenient for the professional for not having to commute, and especially for patients whose home are far from health services; more flexibility for virtual meeting hours, increased frequency of contact with the user and more family participation in phonotherapy. Conclusion: Despite the observed weaknesses, the potential found in virtual work allowed the maintenance of speech assistance to patients even in times of pandemic of Covid-19. Therefore, technology shows itself as a strong ally in health care.


Subject(s)
Humans , Male , Female , Adult , Remote Consultation , Speech, Language and Hearing Sciences , Access to Essential Medicines and Health Technologies , Health Services Accessibility , Epidemiology, Descriptive , Cross-Sectional Studies , Evaluation Studies as Topic , Frailty , COVID-19
8.
Nutrients ; 13(10)2021 Oct 09.
Article in English | MEDLINE | ID: covidwho-1463779

ABSTRACT

The COVID-19 pandemic has caused disruption to food security in many countries, including Kenya. However, the impact of this on food provision to children at an individual level is unknown. This small study aimed to provide a qualitative snapshot of the diets of children during the COVID-19 pandemic. During completion of 24-h food recalls, with 15 families with children aged 5-8 years, caregivers were asked about changes they had made to foods given to their children due to the pandemic. Food recalls were analysed to assess nutrient intakes. Qualitative comments were thematically analysed. Most of the families reported making some changes to foods they provided to their children due to COVID-19. Reasons for these changes fell into three themes, inability to access foods (both due to formal restriction of movements and fear of leaving the house), poorer availability of foods, and financial constraints (both decreases in income and increases in food prices). The COVID-19 pandemic has affected some foods parents in rural Kenya can provide to their children.


Subject(s)
COVID-19 , Diet/methods , Eating , Food Supply/methods , Food Supply/statistics & numerical data , Rural Population/statistics & numerical data , Child , Child, Preschool , Evaluation Studies as Topic , Female , Humans , Income , Kenya , Male , Pandemics , SARS-CoV-2
9.
J Comput Assist Tomogr ; 45(6): 970-978, 2021.
Article in English | MEDLINE | ID: covidwho-1440699

ABSTRACT

OBJECTIVE: To quantitatively evaluate computed tomography (CT) parameters of coronavirus disease 2019 (COVID-19) pneumonia an artificial intelligence (AI)-based software in different clinical severity groups during the disease course. METHODS: From March 11 to April 15, 2020, 51 patients (age, 18-84 years; 28 men) diagnosed and hospitalized with COVID-19 pneumonia with a total of 116 CT scans were enrolled in the study. Patients were divided into mild (n = 12), moderate (n = 31), and severe (n = 8) groups based on clinical severity. An AI-based quantitative CT analysis, including lung volume, opacity score, opacity volume, percentage of opacity, and mean lung density, was performed in initial and follow-up CTs obtained at different time points. Receiver operating characteristic analysis was performed to find the diagnostic ability of quantitative CT parameters for discriminating severe from nonsevere pneumonia. RESULTS: In baseline assessment, the severe group had significantly higher opacity score, opacity volume, higher percentage of opacity, and higher mean lung density than the moderate group (all P ≤ 0.001). Through consecutive time points, the severe group had a significant decrease in lung volume (P = 0.006), a significant increase in total opacity score (P = 0.003), and percentage of opacity (P = 0.007). A significant increase in total opacity score was also observed for the mild group (P = 0.011). Residual opacities were observed in all groups. The involvement of more than 4 lobes (sensitivity, 100%; specificity, 65.26%), total opacity score greater than 4 (sensitivity, 100%; specificity, 64.21), total opacity volume greater than 337.4 mL (sensitivity, 80.95%; specificity, 84.21%), percentage of opacity greater than 11% (sensitivity, 80.95%; specificity, 88.42%), total high opacity volume greater than 10.5 mL (sensitivity, 95.24%; specificity, 66.32%), percentage of high opacity greater than 0.8% (sensitivity, 85.71%; specificity, 80.00%) and mean lung density HU greater than -705 HU (sensitivity, 57.14%; specificity, 90.53%) were related to severe pneumonia. CONCLUSIONS: An AI-based quantitative CT analysis is an objective tool in demonstrating disease severity and can also assist the clinician in follow-up by providing information about the disease course and prognosis according to different clinical severity groups.


Subject(s)
Artificial Intelligence , COVID-19/diagnostic imaging , Lung/diagnostic imaging , Radiographic Image Interpretation, Computer-Assisted/methods , Tomography, X-Ray Computed/methods , Adolescent , Adult , Aged , Aged, 80 and over , Evaluation Studies as Topic , Female , Humans , Male , Middle Aged , Reproducibility of Results , Retrospective Studies , SARS-CoV-2 , Sensitivity and Specificity , Severity of Illness Index , Time , Young Adult
11.
Nutrients ; 13(8)2021 Aug 14.
Article in English | MEDLINE | ID: covidwho-1355019

ABSTRACT

The COVID-19 pandemic restrictions sent college students online and off campus, potentially reducing access to healthy food. The objective of this cross-sectional, internet-based study was to use qualitative and quantitative survey methods to evaluate whether COVID-19 pandemic restrictions in Texas, USA affected college students' ability to buy food, how/what they shopped for, how they prepared food, what they ate, how they felt about eating, and overall dietary quality (assessed using Healthy Eating Index [HEI] scores). Survey responses from 502 students (87.5% female; 59.6% nonwhite, mean age 27.5 ± 0.4 years, >50% graduate students) were analyzed. The qualitative analysis of open-ended questions revealed 110 codes, 17 subthemes, and six themes. Almost all students experienced changes in at least one area, the most common being changes in shopping habits. Participants with low or very low food security had lower HEI scores compared to food secure students (p = 0.047). Black students were more likely to report changes in their ability to buy food (p = 0.035). The COVID-19 restrictions varied in their impact on students' ability to access sufficient healthy food, with some students severely affected. Thus, universities should establish procedures for responding to emergencies, including identifying at-risk students and mobilizing emergency funds and/or food assistance.


Subject(s)
COVID-19/epidemiology , Diet, Healthy/statistics & numerical data , Diet/statistics & numerical data , Adult , COVID-19/psychology , Cross-Sectional Studies , Diet/psychology , Diet/standards , Diet, Healthy/psychology , Evaluation Studies as Topic , Feeding Behavior , Female , Food Assistance , Food Security , Humans , Male , Pandemics , SARS-CoV-2/isolation & purification , Students , Texas/epidemiology , Universities/statistics & numerical data
12.
Acta Paul. Enferm. (Online) ; 34: eAPE03423, 2021. tab
Article in Portuguese | WHO COVID, LILACS (Americas) | ID: covidwho-1342180

ABSTRACT

Resumo Objetivo: Identificar os efeitos da pandemia de COVID-19 na saúde mental da comunidade acadêmica de uma universidade federal. Métodos: Estudo transversal com 586 indivíduos da comunidade acadêmica da Universidade Federal de Ciências da Saúde de Porto Alegre. Um questionário online com questões de múltipla escolha foi disponibilizado na plataforma virtual RedCap . O questionário foi elaborado com base no conteúdo de um guia, o qual trata das principais considerações sobre saúde mental durante a pandemia. Os desfechos avaliados foram aspectos da saúde mental, como angústia, irritabilidade, entre outros. A análise estatística foi realizada no software Statistical Package for Social Sciences e a associação entre as variáveis foi avaliada através do Teste Qui-quadrado e Teste T de Student. O nível de significância adotado foi de 5%. Resultados: Participaram 586 indivíduos: 81% mulheres, 72,8% alunos de graduação e pós-graduação, 58,2% com renda per capita de até 5 salários mínimos e 90,3% brancos. Os sentimentos mais prevalentes foram: impotência (93,5%), angústia (90,8%), medo de perder familiares, amigos ou conhecidos (90,1%), irritabilidade (85,3%) e tristeza (89,9%). Constatou-se que ser do sexo feminino foi fator de risco para apresentar a maioria dos sentimentos, com exceção da irritabilidade e do tédio. Conclusão: A pandemia de COVID-19 exerceu efeitos na saúde mental da comunidade acadêmica, reforçando a necessidade de instituir protocolos de intervenção psicológica na pandemia. Verificou-se diferença estatística significante entre os sexos, em que os efeitos psicológicos mostraram-se mais acentuados na população do sexo feminino.


Resumen Objetivo: Identificar los efectos de la pandemia de COVID-19 en la salud mental de una comunidad académica de una universidad nacional. Métodos: Estudio transversal con 586 individuos de la comunidad académica de la Universidade Federal de Ciências da Saúde de Porto Alegre. Se puso a disposición un cuestionario digital con preguntas de selección múltiple en la plataforma virtual RedCap . El cuestionario fue elaborado con base en el contenido de una guía que aborda las principales consideraciones sobre salud mental durante la pandemia. Los parámetros evaluados fueron aspectos de salud mental, como angustia, irritabilidad, entre otros. El análisis estadístico se realizó en el software Statistical Package for Social Sciences y la relación entre las variables fue evaluada a través de la prueba χ² de Pearson y test-T de Student. El nivel de significación adoptado fue de 5 %. Resultados: Participaron 586 individuos: 81 % mujeres, 72,8 % alumnos de grado y de posgrado, 58,2 % con renta per cápita de hasta 5 salarios mínimos y 90,3 % blancos. Los sentimientos más prevalentes fueron: impotencia (93,5 %), angustia (90,8 %), miedo de perder familiares, amigos o conocidos (90,1 %), irritabilidad (85,3 %) y tristeza (89,9 %). Se constató que ser de sexo femenino fue factor de riesgo para presentar la mayoría de los sentimientos, a excepción de la irritabilidad y el aburrimiento. Conclusión: La pandemia de COVID-19 produjo efectos en la salud mental de la comunidad académica, lo que refuerza la necesidad de instituir protocolos de intervención psicológica durante la pandemia. Se verificó diferencia estadística significativa entre los sexos, en la que los efectos psicológicos se mostraron más acentuados en la población de sexo femenino.


Abstract Objective: To identify COVID-19 pandemic effects on mental health in an academic community from a federal university. Methods: Transversal study carried out with 586 individuals from the academic community from the Universidade Federal de Ciências da Saúde de Porto Alegre. We elaborated an online multiple-choice questionnaire hosted in the RedCap platform. We elaborated the questionnaire based on a guide content, which addresses the main considerations of mental health during the pandemic. Aspects of mental health, such as anguish, irritability, among others, were the outcome evaluated. We carried out the statistical analysis in the Statistical Package for Social Sciences software and the association between variables was evaluated through the Chi-square test and the student T-test. The significance level adopted was 5%. Results: 586 individuals participated: 81% women, 72,8% Exploratory, transversal, and quantitative study, where the scenario was the Universidade Federal de Ciência da Saúde de Porto Alegre (UFCSPA), located in Porto Alegre, Rio Grande do Sul, Brazil. The transversal study is characterized by the direct observation of a sample of individuals in a single moment, 58,2% with per capita income of minimum 5 salaries, and 90,3% white. The most prevalent feelings were: Impotence (93,5%), anguish (90,8%), fear of losing relatives, friends or familiars (90,1%), irritability (85,3%) and sadness (89,9%). We found that female sex is a factor of risk to present most of the feelings, except irritability and boredom. Conclusion: The COVID-19 pandemic affected the mental health of the academic community, reinforcing the necessity of establishing psychological intervention protocols in the pandemic. We found a significant statistical difference between the sexes, in which the psychological effects are more severe in the female sex.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged , Universities , Mental Health , Psychosocial Intervention , COVID-19/psychology , Social Isolation/psychology , Quarantine/psychology , Cross-Sectional Studies , Surveys and Questionnaires , Evaluation Studies as Topic
13.
Acta Paul. Enferm. (Online) ; 34: eAPE03123, 2021. tab, graf
Article in Portuguese | WHO COVID, LILACS (Americas) | ID: covidwho-1342179

ABSTRACT

Resumo Objetivo: Analisar as repercussões da pandemia da COVID-19 em mães-crianças com síndrome congênita do vírus Zika. Métodos: Estudo misto sequencial exploratório (QUAL->QUAN), realizado com 44 mães de crianças com SCZ respondentes de questionário online aplicado entre abril e maio de 2020. Os dados qualitativos foram submetidos à análise de conteúdo temática e os quantitativos à estatística descritiva, com aplicação do teste t de Student emparelhado. A integração dos dados foi realizada de acordo com a técnica joint display . Resultados: O distanciamento físico reconfigura a rotina da mãe-criança, limita a desenvolver atividades no ambiente doméstico, altera hábitos, aumenta a sobrecarga da cuidadora (p<0,05), implica em alteração do padrão do sono e gera sinais de estresse e ansiedade. As mães se preocupam com a diminuição da renda familiar e se esforçam para realizar exercícios de estimulação e atividades escolares no ambiente doméstico após a interrupção dos cuidados profissionais de reabilitação e o fechamento das escolas. Conclusão: A pandemia da COVID-19 repercutiu no incremento de novas tarefas de cuidado com a criança e ambiente doméstico, bem como elevou os níveis de sobrecarga de cuidado das mães, o que pode resultar em alterações importantes na saúde física e mental delas.


Resumen Objetivo: Analizar las repercusiones de la pandemia de COVID-19 en madres-niños con síndrome congénito del virus del Zika. Métodos: Estudio mixto secuencial exploratorio (CUAL->CUAN), realizado con 44 madres de niños con SCZ que respondieron un cuestionario digital aplicado entre abril y mayo de 2020. Los datos cualitativos fueron sometidos al análisis de contenido temático y los cuantitativos a la estadística descriptiva, con aplicación del test-T de Student pareado. La integración de los datos se realizó de acuerdo con la técnica joint display . Resultados: El distanciamiento físico reconfigura la rutina de la madre-niño, limita el desarrollo de actividades en el ambiente doméstico, altera hábitos, aumenta la sobrecarga de la cuidadora (p>0,05), implica la alteración del patrón de sueño y genera señales de estrés y ansiedad. Las madres se preocupan por la reducción de los ingresos familiares y se esfuerzan para realizar ejercicios de estimulación y actividades escolares en el ambiente doméstico luego de la interrupción de los cuidados profesionales de rehabilitación y del cierre de escuelas. Conclusión: La pandemia de COVID-19 repercutió en el aumento de nuevas tareas de cuidado del niño en ambiente doméstico, así como también elevó los niveles de sobrecarga de cuidado de las madres, lo que puede dar como resultado alteraciones importantes de su salud física y mental.


Abstract Objective: To analyze the repercussions of the COVID-19 pandemic in mothers-children with Congenital Zika Syndrome. Methods: This is a mixed exploratory sequential study (QUAL-> QUAN), carried out with 44 mothers of children with Congenital Zika Syndrome who answered an online questionnaire applied between April and May 2020. Qualitative data were subjected to thematic content analysis and quantitative data to statistics descriptive, with application of paired Student's t test. Data integration was performed according to the joint display technique. Results: Physical distancing reconfigures the mother-child routine, limits the development of activities in the domestic environment, changes habits, increases caregivers' burden (p<0.05), implies changes in sleep patterns and generates signs of stress and anxiety. Mothers are concerned about the decrease in family income and strive to perform stimulation exercises and school activities in the domestic environment after the interruption of professional rehabilitation care and the closing of schools. Conclusion: The COVID-19 pandemic had an impact on the increase in new tasks of caring for the child and the home environment, as well as raising the levels of care burden for mothers, which can result in important changes in their physical and mental health.


Subject(s)
Humans , Infant, Newborn , Infant , Child, Preschool , Adolescent , Adult , Middle Aged , Child Care , Caregivers , Zika Virus Infection , Caregiver Burden , COVID-19 , Home Nursing , Mother-Child Relations , Mental Health , Surveys and Questionnaires , Disabled Children , Evaluation Studies as Topic
14.
Acta Paul. Enferm. (Online) ; 34: eAPE02523, 2021. graf
Article in Portuguese | WHO COVID, LILACS (Americas) | ID: covidwho-1342176

ABSTRACT

Resumo Objetivo: Apreender os impactos na saúde mental de profissionais de Enfermagem face às interações com o 'novo' da pandemia da Covid-19. Métodos: Recorte qualitativo, da macropesquisa "Estudo VidaMenta/Covid-19", realizado com 719 profissionais de Enfermagem residentes no Brasil. A coleta de dados foi realizada em ambiente virtual com a aplicação da técnica bola de neve . Para a análise metodológica utilizou-se o Discurso do Sujeito Coletivo e para interpretação teórica e filosófica recorreu-se a elementos do Interacionismo Simbólico. Resultados: O discurso coletivo evidenciou que a saúde mental de profissionais de Enfermagem foi afetada pelas: interações com o 'novo' com elaboração de significados atribuídos à pandemia; interações com o cuidado de Enfermagem relacionadas com os atendimentos aos pacientes; e interações com o trabalho demarcadas pelas relações profissionais e institucionais. Conclusão: Os achados confirmam que há impactos na saúde mental de profissionais de Enfermagem no contexto da pandemia Covid-19 que se manifestam a partir da interação com o 'novo'. Nessa interação trazem o advento de um 'cuidado de Enfermagem pandêmico', permeado por especificidades que emergiram e apresenta uma possibilidade de mudança de paradigma para as diretrizes de formação em Enfermagem, nos avanços tecnológicos de ensino-aprendizagem e na prática profissional.


Resumen Objetivo: Comprender los impactos en la salud mental de profesionales de enfermería frente a las interacciones cono lo "nuevo" de la pandemia de COVID-19. Métodos: Recorte cualitativo, de la macroinvestigación "Estudo VidaMenta/Covid-19", realizado con 719 profesionales de enfermería residentes en Brasil. La recolección de datos fue realizada en ambiente virtual con la aplicación de la técnica bola de nieve . Para el análisis metodológico se utilizó el Discurso del Sujeto Colectivo, y para la interpretación teórica y filosófica se recurrió a elementos del Interaccionismo Simbólico. Resultados: El discurso colectivo evidenció que la salud mental de profesionales de enfermería estuvo afectada por: interacciones con lo "nuevo" con elaboración de significados atribuidos a la pandemia; interacciones con el cuidado de enfermería relacionadas con la atención a pacientes, e interacciones con el trabajo determinadas por las relaciones profesionales e institucionales. Conclusión: Los resultados confirman que hay impactos en la salud mental de profesionales de enfermería en el contexto de la pandemia de COVID-19, que se manifiestan a partir de la interacción con lo "nuevo". Esta interacción trae consigo el advenimiento de un "cuidado de enfermería pandémico", impregnado de especificidades que surgieron, y presenta una posibilidad de cambio de paradigma de las directrices de formación en enfermería, en los avances tecnológicos de enseñanza-aprendizaje y en la práctica profesional.


Abstract Objective: To understand mental health impacts on nursing professionals in the face of interactions with the novel COVID-19 pandemic. Methods: This is a qualitative cut, from the macrosearch " Estudo VidaMenta/Covid-19 ", carried out with 719 nursing professionals residing in Brazil. Data collection was performed in a virtual environment using the snowball technique. For methodological analysis, the Discourse of the Collective Subject was used and for theoretical and philosophical interpretation, Symbolic Interactionism elements were used. Results: The collective discourse showed that nursing professionals' mental health was affected by: interactions with the 'new' with the elaboration of meanings attributed to the pandemic; interactions with nursing care related to patient care; interactions with work demarcated by professional and institutional relationships. Conclusion: The findings confirm that there are impacts on nursing professionals' mental health in the COVID-19 pandemic context that manifest themselves through the interaction with the 'new'. In this interaction, they bring the advent of 'pandemic nursing care', permeated by specificities that have emerged and presents a possibility of changing the paradigm for nursing training guidelines, in technological advances in teaching and learning and in professional practice.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Mental Health , Pandemics , Health Impact Assessment , COVID-19 , Nurse Practitioners , Address , Evaluation Studies as Topic , Nurse-Patient Relations
15.
Urology ; 158: 26-32, 2021 12.
Article in English | MEDLINE | ID: covidwho-1331279

ABSTRACT

OBJECTIVE: To assess whether pandemic-related restrictions with video-based interviewing increased geographic clustering of urology applicants matching at a residency program near where they were raised or attended medical school. MATERIALS AND METHODS: We utilized publicly available data from the urology match to compare dispersal patterns between applicants matching during the COVID-19 application cycle (2021) and those matching in the 5 prior application cycles (2016-2020). Variables included home state, undergraduate institution, medical school, and residency. Latitudes and longitudes were obtained for each institution and home state. The primary endpoint was distance (miles, as the most direct path) between medical school and residency program. We also assessed dispersal patterns by American Urological Association section. RESULTS: Of the 1965 applicants matching to a urology program between 2016 and 2021, medical school was identified for 1956 (99.7%) applicants, undergraduate program for 1551 (79%) applicants, and home state for 1351 (69%) applicants. Comparing the COVID-19 application cycle to the 5 prior application cycles, there was no significant difference in the median distance between medical school and residency, undergraduate university and residency, or home state and residency. Similarly, there was no significant difference in the proportion of applicants matching at their home institution, matching from medical schools without a home urology program, matching from medical schools with a historically low volume of urology applicants (<1 matched applicant per year), or matching from a D.O. CONCLUSION: Virtual interviewing and the loss of in-person clinical rotations did not significantly alter dispersal patterns or hamper an applicant's ability to match at program outside their geographic region.


Subject(s)
COVID-19 , Internship and Residency , Job Application , Urology/education , Evaluation Studies as Topic , Geography , Schools, Medical , United States
16.
J Foot Ankle Res ; 14(1): 46, 2021 Jun 30.
Article in English | MEDLINE | ID: covidwho-1286830

ABSTRACT

BACKGROUND: In response to the COVID-19 pandemic, populations were advised to remain at home to control viral spread. Government-mandated restrictions on free movement affected individuals' engagement with physical activity, with reported increases leading to biopsychosocial health benefits and conversely increased sedentary behaviour leading to poorer health. Good foot health is key to enabling physical activity and maximal participation in activities of occupation and daily living. METHODS: A population-based cross-sectional study was performed, using a web-based platform. Quantitative and qualitative data were captured through responses to closed and open survey questions. Anybody with a foot health condition was eligible to participate in the online survey. Links were sent through professional networks, support groups and charities, using a snowball strategy to maximise participation. RESULTS: Two hundred fifty-five respondents completed the survey. Most (n = 193, 75.69%) reported an ongoing foot pain or problem that had been present for 4 weeks or longer, whilst 49 respondents (19.22%) noted a new pain or problem. Pain was the most frequently reported symptom (n = 139, 54.51%), whilst change in appearance of the foot was also commonly reported (n = 122, 47.84%), often alongside the observable presence of swelling. Musculoskeletal foot symptoms were frequently reported (n = 123, 48%), and were significantly associated with reported reduced physical activity (X2 = 6.61, p = 0.010). Following qualitative analysis five themes and 11 subthemes emerged, informed by 49 independent codes. A central theme of lockdown disrupting support networks, both formal (healthcare providers) and informal (friends or family members) emerged. The 5 sub-themes were: 1. foot pain is a constant companion, 2. self-care, 3. 'cope or crumble' scenarios, 4. future intent to access healthcare and 5. reduced ability to undertake physical activity. CONCLUSIONS: Pain was the most frequently reported foot problem during COVID-19 lockdown restriction. Lockdown restrictions disrupted support networks integral to maintaining foot health. Poor foot health impacted people's ability to remain physically active. Complaints previously considered relatively 'minor' such as support for skin and nail care, were found to be exacerbated by restricted support networks, leading to greater negative impact.


Subject(s)
COVID-19/prevention & control , Exercise/psychology , Foot/pathology , Musculoskeletal Pain/epidemiology , Social Isolation/psychology , Activities of Daily Living/psychology , Adult , Aged , COVID-19/diagnosis , COVID-19/epidemiology , COVID-19/virology , Communicable Disease Control/statistics & numerical data , Cross-Sectional Studies , Evaluation Studies as Topic , Female , Government Regulation , Humans , Male , Middle Aged , Musculoskeletal Pain/diagnosis , Patient Participation , SARS-CoV-2/genetics , Sedentary Behavior , Self Care/psychology , Self-Help Groups/organization & administration , Surveys and Questionnaires
19.
Ann Ig ; 33(4): 347-359, 2021.
Article in English | MEDLINE | ID: covidwho-1207913

ABSTRACT

Background: Health authorities and organizations consider non-medical face masks as an additional passive means to prevent virus diffusion. Communication strategies disseminate information among the population that such masks are essential for mitigating virus diffusion. However, scientific studies are not conclusive in showing the undisputed filtration efficiency of fabric/cloth facial masks (both commercial and homemade). Objectives: This study examines scientific data about the effectiveness of face masks before and during the COVID-19 emergency. Present trends in the making of commercial and homemade fabric/cloth face masks are also examined. Methods: Statistical data of published studies are analyzed and compared. Main considerations and sugge-stions are also extracted and discussed. Current approaches are examined for assessing the characteristics and effectiveness of fabric/cloth commercial and homemade face masks intended for the population. Results: Conflicting data exist as to whether non-medical masks have a protective effect from the spread of respiratory viruses. Both medical masks (MDs) and respiratory personal protection equipment (PPE) show a given effectiveness value. Conclusion: Concerning commercial and homemade fabric/cloth masks, giving general indications on the choice of materials and their assemblage is difficult as it is not possible to assess the effectiveness of the filter media with respect to the kind of multiphase fluid that may be emitted upon breathing, sneezing, or coughing under different environmental conditions. This is particularly important because airflow rate, temperature, humidity, and duration of use will affect the performance of filter media. Moreover, while a mask may have excellent filter media, droplets may leak into the face-piece unless there is an adequate facial seal. In the presence of leaks, any type of mask may actually offer less protection independently of its nominal filtering effìciency.


Subject(s)
COVID-19/prevention & control , Masks , SARS-CoV-2 , Aerosols , Air Microbiology , Cough , Equipment Design , Evaluation Studies as Topic , Filtration , Humans , Humidity , Masks/standards , Masks/trends , Polypropylenes , Respiration , SARS-CoV-2/isolation & purification , Sneezing , Temperature , Textiles
20.
J Soc Psychol ; 161(4): 477-491, 2021 Jul 04.
Article in English | MEDLINE | ID: covidwho-1205474

ABSTRACT

What mitigates prejudice against migrants in situations of uncertainty? Addressing this question, we explored how individuals with greater COVID-19 concern perceive migrants as a greater threat and show prejudice against them, indirectly through the mechanism of need for cognitive closure and binding moral foundations.This study was conducted in two European countries: Malta and Italy. Six hundred and seventy-six individuals participated in this quantitative study (Malta: N = 204; Italy N = 472). Results from this study showed that the need for cognitive closure and binding moral foundations mediate the relationship between COVID-19 concern and prejudice against migrants in both countries. When testing the three binding moral foundations (loyalty, authority, and purity), the authority foundation seems to be the most consistent predictor.The implications of the findings contribute to theories about how situational uncertainty caused by COVID-19, together with the need for epistemic certainty and binding morality, contribute to increased prejudiced attitudes against migrants.


Subject(s)
COVID-19/psychology , Morals , Prejudice/psychology , Transients and Migrants/psychology , Uncertainty , Adolescent , Adult , Aged , Aged, 80 and over , Cognition , Evaluation Studies as Topic , Female , Humans , Italy , Male , Malta , Middle Aged , Prejudice/statistics & numerical data , SARS-CoV-2 , Transients and Migrants/statistics & numerical data , Young Adult
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